Psychological Services最新文献

{"title":"Tailored weight loss programs for adults with serious mental illness: 12-month follow-up of a randomized clinical trial of CoachToFit.","authors":"Matthew Chinman, Tianxiu Wang, Jessica R Dodge, David A Frank, Jennifer L McCoy, Amy N Cohen","doi":"10.1037/ser0001047","DOIUrl":"10.1037/ser0001047","url":null,"abstract":"<p><p>This study aimed to determine whether improvements among veterans at the end of a 6-month weight loss program tailored to those with serious mental illness (SMI) were maintained at 12 months. From 2021 to 2025, 256 veterans at the Pittsburgh VHA Medical Center who had SMI and were obese were randomized to either Usual Care or CoachToFit, which included weekly calls from a Veteran Health Administration peer specialist, a Bluetooth-enabled scale and fitness tracker, and a smartphone app that provides health education and tracks steps, goals, and weight. Participants' weight, body mass index, and meters walked in 6 min were assessed at baseline, 6, and 12 months. CoachToFit participants had 1.88 times greater odds of being in a higher 5% weight loss category by 12 months (achieved never, achieved ever, sustained) compared to Usual Care and 2.34 times greater odds of reaching a higher category of 7% weight loss. Average weight loss and meters walked did not differ between groups at 12 months. A greater number of veterans with SMI who were obese achieved and sustained significant weight loss as a result of a peer-supported and tailored technology weight-management program, which may be a good option for this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal relations between parental burden, adolescent externalizing symptoms, and mental health service use in the year following adolescent psychiatric hospitalization.","authors":"Katherine M Harris, Timothy W Curby, David B Goldston, John F Curry, Stephanie S Daniel, Otima Doyle, Bridget E Weller, Christianne Esposito-Smythers","doi":"10.1037/ser0001050","DOIUrl":"10.1037/ser0001050","url":null,"abstract":"<p><p>Rates of adolescent psychiatric hospitalization have increased significantly over the last decade. Despite heightened risk for life-threatening behavior and readmission in the year following hospitalization, mental health service use has varied. Parental burden and youth externalizing behavior have been associated with service use in community samples, with most research focused on children and their parents. The present study explored longitudinal relations between parental burden, externalizing symptoms, and mental health service use in a high-risk clinical adolescent sample in the year following hospitalization. The sample included 252 mothers with an adolescent recently discharged from psychiatric hospitalization. Mothers completed measures of parental burden (Child and Adolescent Impact Assessment), youth externalizing symptoms (Achenbach Child Behavior Checklist), and youth mental health service use (Child and Adolescent Services Assessment) at 1 (M1), 3 (M3), 6 (M6), and 12 (M12) months following adolescent discharge from psychiatric hospitalization. Bidirectional relations between variables were examined with a cross-lagged autoregressive model. Controlling for baseline levels, greater externalizing symptoms were positively associated with parental burden and negatively associated with recommended use of individual psychotherapy over time. Recommended use of youth individual psychotherapy at M3 predicted lower externalizing symptoms at M6. No other longitudinal relations were found. Findings enhance our understanding of the experience of adolescents and families and inform service use patterns during the posthospitalization period. Recommendations for discharge practices and postdischarge care are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"We worked … as if nothing was happening\": Exploring multilevel burnout experiences and resources among health professionals in the context of compounding disasters in Puerto Rico.","authors":"Jeffrey Ramos-Santiago, Naomi Y Pérez-García, Almarely L Berríos-Negrón, Michelle A Fernández-Avilés, José A Ramos-Carrasquillo, Ramón Rodríguez-Montalbán, Eliut Rivera-Segarra","doi":"10.1037/ser0001051","DOIUrl":"10.1037/ser0001051","url":null,"abstract":"<p><p>Health professionals, including physicians and mental health workers, experience higher rates of burnout compared to the general U.S. population and other industries. These risks intensify in disaster contexts, threatening workforce well-being and sustainability. Between 2017 and 2020, Puerto Rico faced three compounding disasters: Hurricane Maria, a historic earthquake sequence, and the COVID-19 pandemic. Yet, no prior studies have examined multilevel factors contributing to burnout amid such compounding events. This study aimed to explore burnout-related stressors and resources among health professionals across task, social, and organizational levels during these disasters in Puerto Rico. Using an exploratory-descriptive qualitative design informed by the Resources, Emotions/Experiences and Demands model of burnout, semistructured interviews were conducted with 25 health professionals from diverse backgrounds. Thematic analysis revealed six key stressors: (1) cumulative stress, (2) intersecting patient health needs, (3) difficulty separating personal and professional life, (4) emotionally charged work environments, (5) collapsed health systems, and (6) insufficient economic support. Correspondingly, six multilevel resources addressed these stressors: (1) financial security, (2) authentic support, (3) dismantling power hierarchies and redistributing roles, (4) adaptive workspace overhauls, (5) onsite provisions, and (6) flexible expectations and professional autonomy. Findings underscore the compounded stress health professionals face navigating multiple disasters and emphasize the importance of leveraging resources across multiple levels to mitigate burnout risk. These insights inform strategies to support and sustain the health workforce in disaster-affected settings, particularly in the context of overlapping events. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the experiences, treatment barriers, and needs of veterans with obsessive-compulsive disorder and posttraumatic stress disorder: A qualitative descriptive study.","authors":"Gabriella T Ponzini, Yujung Choi, Susan Alton Dailey, Abigail Shapiro, Terri L Fletcher, Patrick S Calhoun, Heather A King","doi":"10.1037/ser0001039","DOIUrl":"https://doi.org/10.1037/ser0001039","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) frequently co-occur; however, little is known about veterans' experiences with this comorbidity. This study explored veterans' experiences with OCD and PTSD symptoms and mental health treatment at Veterans Affairs (VA), as well as current treatment barriers and needs to enhance VA care. Veterans with documented diagnoses of OCD and PTSD were identified through VA medical records. Semistructured interviews were in part informed by the updated Consolidated Framework for Implementation Research. Interviews were analyzed using rapid, matrix-based qualitative analysis methods. Eleven veterans (majority Black/African American and female, ages 38-71) participated. Veterans largely believed their OCD and PTSD symptoms were related (i.e., dynamic comorbidity) and most often received prolonged exposure therapy for PTSD. Perceived barriers to treatment for this comorbidity included fears of stigma related to OCD, lack of provider understanding and focus on OCD, and logistical challenges. Perceived needs included improving provider understanding and focus on OCD, reducing stigma, and increasing access to information about OCD in VA. Findings highlight the need for system-wide initiatives to improve awareness, reduce stigma, and enhance the focus on OCD within VA. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147942414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health treatment experiences before, during, and after incarceration: Perspectives of formerly incarcerated Black men.","authors":"Helena A Addison, Kathryn Thomas, Therese S Richmond, Toorjo Ghose, Sara F Jacoby","doi":"10.1037/ser0001046","DOIUrl":"10.1037/ser0001046","url":null,"abstract":"<p><p>Black men who have been incarcerated experience worse mental health outcomes than Black men without incarceration histories, reflecting both the trauma of incarceration and barriers to adequate care. This study describes the perspectives and experiences of formerly incarcerated Black men (FIBM) with mental health treatment before, during, and after incarceration. Using a qualitative design with semistructured interviews and embedded quantitative surveys, we interviewed 29 FIBM. Quantitative data described the sample and treatment histories, while qualitative data were analyzed using reflexive thematic analysis. Most participants (<i>n</i> = 26/29; 89.7%) reported receiving mental health treatment at some point in their lives. Three overarching themes emerged: (1) Treatment timing relative to incarceration: treatment before incarceration often misaligned with needs, treatment during incarceration offered access but was constrained by limited resources, and treatment after incarceration offered greater agency; (2) experiences across treatment modalities: perceptions of individual therapy, group therapy, and medications varied. Positive experiences are linked to supportive clinician or peer relationships and skill building. Negative experiences tied to retraumatization or reluctance toward medication; and (3) treatment shaped by institutional surveillance and punishment: mandated care undermined engagement unless autonomy was maintained, and participants expressed mixed views on how substance use disorder treatment related to their mental health needs. Findings highlight that while it is essential to address the mental health needs of FIBM, treatment varies greatly in quality and impact. Future research should examine treatment types, settings, and trajectories over the life course to inform equitable, trauma-informed, and culturally responsive care for FIBM. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147942397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protecting providers: A qualitative study of Veterans Health Administration mental health providers' perspectives on leadership and burnout.","authors":"Veronica Ortolan, Kristen M Abraham, Molly Harrod, Linda Takamine, Jennifer Burgess, Rebecca K Sripada, Peter P Grau, Kara Zivin","doi":"10.1037/ser0001042","DOIUrl":"10.1037/ser0001042","url":null,"abstract":"<p><p>Veterans Health Administration mental health providers (MHPs) report high levels of burnout and describe leadership as a source of burnout. The present study investigated Veterans Health Administration MHPs' perspectives on the relationship between provider burnout and management practices employed by different levels of leadership. Qualitative interviews were conducted between August 2021 and May 2022 with 51 frontline psychiatrists, psychologists, and social workers from nine Veterans Health Administration sites stratified into different burnout and staffing levels as part of a larger mixed methods study of burnout. Content analysis of interview transcripts revealed three overarching themes related to leadership's effects on burnout emerged: supportive practices of direct supervisors which could alleviate burnout, the limited power of middle management, and MHPs' concerns with facility and service-line leadership. Key findings include that MHPs experienced less burnout when supervisors effectively communicated, advocated for MHPs, and recognized MHPs' accomplishments. MHPs also described supervisors as lacking power. MHPs conveyed that leaders at higher organizational levels were less likely to recognize MHPs' needs, efforts, and perspectives and less likely to communicate with them in a bidirectional manner. Implications for systems-oriented organizational efforts to ameliorate MHPs' burnout within health care systems are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147942400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing clinical and counseling psychology graduate students' perceptions of evidence-based treatment usability and training.","authors":"Laura K Jans, Madeline Kiefer, Jessica L Schleider, Briana S Last","doi":"10.1037/ser0001048","DOIUrl":"10.1037/ser0001048","url":null,"abstract":"<p><p>The usability of evidence-based treatments (EBTs) is a critical yet underexamined factor in implementation efforts. While postgraduate clinicians' perspectives on EBT usability are well-documented, insights from student clinicians remain largely unreported despite the determinative role of graduate training in shaping future clinical practice. This study surveyed 76 clinical and counseling psychology doctoral students from across the United States about their perspectives on the strengths and limitations of EBTs as well as their clinical training. Descriptive analyses characterized the types of EBTs students are learning and using and their views on how evidence based their programs are. A qualitative content analysis of open-ended responses yielded 36 distinct content codes related to EBT usability and training needs. These codes were further organized into three domains for EBT strengths and limitations (feasibility, effectiveness, and training/resource availability) and three domains for training gaps (knowledge, skills, and training approach). While student clinicians valued the structure and empirical support of EBTs, they highlighted the need for more flexible treatments along with training to deliver them responsively. Results provide a snapshot of the current state of EBT training at the doctoral level and offer suggestions for improving the usability of treatments for clinicians across the training continuum. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13178105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147942352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Veterans' engagement in mindfulness practices following intervention.","authors":"Tracy Herrmann, Amir Ramezani, Ryan Lackner, William R Marchand, Danielle Perez, Allison O'Connor, Joanna E Bettmann","doi":"10.1037/ser0000950","DOIUrl":"10.1037/ser0000950","url":null,"abstract":"<p><p>Mindfulness-based interventions are complementary and integrative health interventions, widely used for mental health. However, while these interventions show significant benefits for veterans, veterans are more likely to drop out of mindfulness-based interventions than other treatments. This study aimed to evaluate veterans' motivations for and long-term engagement in mindfulness practices following mindfulness-based interventions. One hundred sixty-one veterans completed phone surveys 6-12 months after receiving mindfulness interventions through the Veteran Affairs Health Care System. Bivariate statistics were utilized to estimate relationships between demographic variables and theme scores, effect size for significant findings, and to estimate relationships between theme scores. Veterans reported that they sought treatment for trauma, health concerns, depression, and anxiety. They reported benefits from treatment in their depressive symptoms, anxiety, health concerns, and pain levels. More than half of participants reported maintaining a daily mindfulness practice following treatment. Findings suggest that different types of mindfulness interventions had comparable outcomes at follow-up, but demographic variables correlated with different veteran outcomes. Presenting certain mindfulness skills early in mindfulness-based intervention programming and building daily mindfulness practices throughout treatment may help veterans access the most efficacious components of mindfulness-based intervention and reduce the likelihood of dropout. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"367-374"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial needs of incarcerated veterans with other than honorable discharge characterizations.","authors":"Emily R Edwards, Sharon Alter, Ryan Holliday, Anthony Fortuna, Matthew Stimmel","doi":"10.1037/ser0000956","DOIUrl":"10.1037/ser0000956","url":null,"abstract":"<p><p>The Veterans Health Administration recently expanded eligibility to allow behavioral health care for veterans with \"other than honorable\" (OTH) discharge characterizations, a group with unique demographic and psychosocial needs, including overrepresentation in criminal-legal contexts. To guide the integration of these veterans into Veterans Health Administration behavioral health care settings, this study offers initial insight into the needs of veterans with OTH involved in the criminal-legal system. Using data from the 2016 Survey of Prison Inmates, analyses compared incarcerated veterans with OTH (<i>n</i> = 179) to those with honorable or general discharge characterizations (<i>n</i> = 1,335) on demographic profile, criminal-legal history, and psychosocial factors. Veterans with OTH were more often younger, persons of color, incarcerated for drug-related offenses, diagnosed with psychotic and personality disorders, experiencing housing and occupational instability immediately preceding arrest, and with a history of substance use treatment. Results highlight the need for culturally sensitive approaches capable of addressing complex difficulties commonly faced by this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"398-402"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-effectiveness of evidence-based psychotherapies for PTSD: An examination of different treatment delivery modalities.","authors":"John C Moring, Clara E Dismuke-Greer, Patricia A Resick, Stacey Young-McCaughan, Jordan Ortman, Cindy McGeary, Casey L Straud, Margaret-Anne Mackintosh, Ron Acierno, Sheila A M Rauch, Leslie A Morland, Alan L Peterson","doi":"10.1037/ser0001010","DOIUrl":"10.1037/ser0001010","url":null,"abstract":"<p><p>The goal of this study was to examine the cost-effectiveness of evidence-based psychotherapies for posttraumatic stress disorder (PTSD), including prolonged exposure and cognitive processing therapy, by comparing four delivery modalities: home-based telehealth (patient in home), office-based telehealth (patient in one office, provider in another), in-home in-person, and in-office in-person. Pooled data from 268 veterans enrolled in two harmonized PTSD clinical trials were used to examine costs related to personnel, travel mileage, and office space. Cost-effectiveness was calculated using an incremental cost-effectiveness ratio that included unadjusted medians of cost differences between modalities and percent change in clinical outcomes. <i>K</i>-sample equality of medians tests were used to ascertain statistical significance in differences across treatment modalities for the total cohort, as well as for cohorts based on greater baseline PTSD severity (baseline Clinician-Administered PTSD Scale for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition, score ≥39 points), for the half of participants who did not respond as well to therapy, and for those who experienced reliable change in PTSD symptoms. The median incremental cost-effectiveness ratio was -$81 across all treatment modalities, -$92 for in-office in-person, -$92 for home-based telehealth, -$131 for office-based telehealth, and -$55 for in-home in-person. Sensitivity analyses examining baseline PTSD severity and responder status are also presented. Cost-effectiveness differed across treatment modalities, but only for those who were considered treatment responders. Shared decision making can help clinicians determine the best therapy delivery approach for each patient suffering from PTSD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"282-292"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}